Exploring association between certified EHRs adoption and patient experience in U.S. psychiatric hospitals

PLoS One. 2020 Jun 17;15(6):e0234607. doi: 10.1371/journal.pone.0234607. eCollection 2020.


Objective: Certified Electronic Health Records (EHR) have been shown to improve the health service quality in some health settings, but there is scant evidence related to its adoption in psychiatric hospitals. This paper aimed to examine the relationship between certified EHR adoption and patient experience across psychiatric hospitals in the United States.

Methods: A cross-sectional study design compared the difference in patient experience measures between psychiatric hospitals with and without certified EHR. Data were drawn from the American Hospital Association (AHA) Annual Survey Database and Hospital Compare datasets. Eleven publicly reported measures for patient experience from the Consumer Assessment of Healthcare Providers and Systems Hospital Survey (HCAHPS) were applied for analysis. Independent relationship of certified EHR adoption and patient experience was explored with multiple linear regression models adjusted for hospital organizational characteristics.

Results: Positive associations were identified between certified EHR adoption and five patient perception measures-"recommend hospital" (β = 0.66, 95% CI = [0.16,1.16]; t = 2.68, p = 0.010), "overall hospital rating" (β = 0.39, 95% CI = [0.03,0.75]; t = 2.11, p = 0.035), "discharge information" (β = 0.45, 95% CI = [0.03,0.86]; t = 2.09, p = 0.037), "care transition" (β = 0.44, 95% CI = [0.14, 0.75]; t = 2.84, p = 0.005), and "responsiveness of hospital staff" (β = 0.47, 95% CI = [0.04, 0.90]; t = 2.13, p = 0.033).

Conclusion: Our results suggest the positive association between certified EHR adoption and patient experience. More studies are needed to explore impacts of certified EHR adoption and potential improvement in patient experience to quality of care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Certification
  • Cross-Sectional Studies
  • Electronic Health Records / standards*
  • Hospitals, Psychiatric*
  • Humans
  • Perception
  • Quality of Health Care
  • United States

Grants and funding

Xuejun Hu was supported by a scholarship from the China Scholarship Council (NO. 201703170149). https://www.csc.edu.cn/ The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.